Find Lasting Relief from Headaches and Neck Pain at Orthosports
Sharp, Burning Pain at the Back of Your Head?
If you experience stabbing pain that starts at the base of your skull and radiates toward the top of your head, behind your ears, or even behind your eyes, you may be suffering from occipital neuralgia.
At Orthosports Calgary, we specialize in identifying the underlying mechanical causes of occipital nerve irritation rather than simply masking the symptoms. Our comprehensive approach combines Manual Osteopathy, Massage Therapy, Microcurrent Point Stimulation (MPS), Acupuncture, and rehabilitation techniques to reduce nerve irritation, restore mobility, and help you return to a pain-free life.
When to seek medical attention first: Occipital neuralgia can share symptoms with more serious conditions. See a physician or seek emergency care promptly if you experience the worst headache of your life, a headache with fever or stiff neck, sudden vision changes, slurred speech, weakness or numbness on one side of the body, or a headache following a significant head injury. This article is educational and doesn’t replace a medical diagnosis.
What Is Occipital Neuralgia?
Occipital neuralgia occurs when the greater, lesser, or third occipital nerves become irritated or compressed. These nerves originate in the upper cervical spine and provide sensation to much of the scalp.
Unlike migraines, occipital neuralgia is usually caused by mechanical dysfunction involving the neck muscles, joints, fascia, or connective tissues.
The pain is often described as:
- Sharp, electric shock-like pain
- Burning or stabbing sensation
- Pain beginning at the base of the skull
- Tender scalp
- Pain behind one eye
- Neck stiffness
- Headaches triggered by neck movement
Many patients are initially diagnosed with migraines or tension headaches before discovering the true source of their pain.
Common Causes
Occipital neuralgia may develop from:
- Poor posture
- Whiplash injuries
- Sports injuries
- Concussions
- Muscle tension
- Chronic stress
- Cervical joint dysfunction
- Arthritis of the upper neck
- Trigger points in the suboccipital muscles
- Scar tissue
- Compression around the C1-C3 vertebrae
Because the nerves travel through several muscles at the top of the neck, excessive muscle tension frequently contributes to nerve irritation.

Symptoms
Patients commonly report:
- Pain starting at the base of the skull
- Pain radiating toward the forehead
- Pain behind one eye
- Tenderness over the occipital nerves
- Difficulty turning the head
- Neck stiffness
- Sensitivity when brushing the hair
- Pain when lying on a pillow
- Headaches after computer work
- Pain following prolonged driving
Symptoms may affect one side or both sides of the head.
How We Assess Occipital Neuralgia
At Orthosports Calgary, every treatment begins with a detailed assessment.
We evaluate:
- Cervical spine mobility
- Upper cervical alignment
- Cranial mechanics
- Muscle tension
- Fascial restrictions
- Trigger points
- Shoulder and thoracic mobility
- Posture
- Previous injuries
- Nerve irritation patterns
Many patients have multiple contributing factors rather than a single cause.
Our Treatment Approach
Manual Osteopathy
Our Manual Osteopaths assess and restore movement throughout the cervical spine, thoracic spine, ribs, jaw, shoulders, and surrounding connective tissues. Improving joint mobility can reduce mechanical irritation affecting the occipital nerves.
Treatment may include:
- Cranial techniques
- Gentle cervical mobilization
- Fascial release
- Muscle energy techniques
- Soft tissue release
- Visceral assessment when appropriate
Massage Therapy
Registered Massage Therapists work to release muscles that commonly compress the occipital nerves, including:
- Suboccipitals
- Upper trapezius
- Levator scapulae
- Sternocleidomastoid
- Splenius capitis
- Semispinalis muscles
Reducing muscular tension often decreases headache frequency and intensity.
Microcurrent Point Stimulation (MPS)
Microcurrent Point Stimulation (MPS) Therapy uses low-level direct current stimulation to treat trigger points and neurological reflex points.
Many patients experience:
- Reduced muscle guarding
- Improved nervous system regulation
- Less chronic pain
- Faster recovery
- Improved neck mobility
MPS is particularly useful when chronic pain is being maintained by the nervous system rather than the original injury alone.
Acupuncture
Acupuncture may help:
- Reduce muscle tension
- Improve circulation
- Calm irritated nerves
- Decrease inflammation
- Promote relaxation
For some patients, Acupuncture is an excellent complement to manual therapy.
Not sure which treatment is the right starting point for your headaches? A comprehensive assessment at Orthosports Calgary will tell you.

Conditions Commonly Associated with Occipital Neuralgia
Occipital neuralgia often occurs alongside:
- Cervicogenic headaches
- Migraines
- Concussions
- TMJ dysfunction
- Whiplash injuries
- Forward head posture
- Chronic neck pain
- Upper crossed syndrome
Treating only the headache often overlooks these contributing factors.
Why Choose Orthosports Calgary?
Our practitioners focus on identifying and treating the underlying dysfunction rather than simply managing symptoms.
Patients choose Orthosports because we offer:
- Comprehensive assessments
- Integrated treatment plans
- Multiple therapies under one roof
- Individualized care
- Experienced Manual Osteopaths
- Registered Massage Therapists
- Acupuncture services
- Direct billing for eligible services
- Convenient Calgary location
Our goal is to restore function, reduce pain, and help prevent recurrence.
Frequently Asked Questions
Is occipital neuralgia the same as a migraine?
No. Although symptoms can overlap, occipital neuralgia involves irritation of the occipital nerves. Migraines involve different neurological mechanisms. Some individuals experience both conditions.
Can massage therapy help occipital neuralgia?
Yes. When muscle tension contributes to nerve irritation, massage therapy can significantly reduce symptoms by relieving pressure on the affected tissues.
Can Manual Osteopathy help?
Manual Osteopathy aims to restore normal movement in the cervical spine, cranial structures, and surrounding soft tissues, potentially reducing mechanical stress on the occipital nerves.
How many treatments will I need?
The number of visits depends on the duration of symptoms, severity, previous injuries, posture, and contributing factors. Some patients notice improvement within a few sessions, while chronic cases may require a longer treatment plan.
What triggers occipital neuralgia flare-ups?
Common triggers include prolonged neck flexion (like extended computer or phone use), poor sleep posture, cold drafts on the neck, stress-related muscle tension, and sudden neck movements. Identifying your specific triggers is part of the assessment process.
Is occipital neuralgia dangerous?
Occipital neuralgia itself is not typically dangerous, though it can be significantly painful and disruptive. That said, sudden, severe, or unusual headache patterns should always be evaluated by a physician first to rule out more serious causes before pursuing manual therapy.
Can posture correction help prevent occipital neuralgia from coming back?
For many patients, yes — since forward head posture and prolonged desk work are common contributing factors, addressing posture alongside treatment can help reduce how often symptoms return. Your practitioner can guide you on specific adjustments relevant to your presentation.
Book an Assessment
If you have persistent headaches, pain at the base of your skull, or neck pain that radiates into your head, our team can help determine whether occipital neuralgia is contributing to your symptoms.
A comprehensive assessment is the first step toward identifying the source of your pain and developing an individualized treatment plan.
Book your occipital neuralgia assessment at Orthosports Calgary — call 403-984-9962 or book online.
Book your appointment at Orthosports Calgary
Orthosports Calgary — Manual Osteopathy | Massage Therapy | Acupuncture | MPS Therapy
Serving Calgary and surrounding communities.
Related Reading
For readers researching related conditions:
- 5 Signs You Need to See an Osteopath (Not Just a Massage Therapist) — see if your recurring headache or neck pain pattern is a sign you need osteopathy rather than massage alone.